# IDEAL DENTAL OF WILLOW BEND PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801266028
- **Authorized official:** SULMAN AHMED DMD (CEO)
- **Authorized official phone:** (972) 361-0600

## Contact information

- **Practice address:** 1885 NORTH DALLAS PARKWAY, SUITE 900, PLANO, TX 75093
- **Practice address phone:** (972) 248-6000
- **Mailing address:** 1885 NORTH DALLAS PARKWAY, SUITE 900, PLANO, TX 75093
- **Mailing address phone:** (972) 248-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2015
- **Last updated:** 11/10/2015